title: Accidentally ingested foreign body associated with liver actinomycosis: the diagnostic value of imaging.
abstract: Accidental ingestion of foreign bodies is a relatively common situation, in the large majority of cases being followed by an unobserved passing of the objects through the digestive tract and their elimination in about a week. We present a patient with liver actinomycosis developed in relation with a gastric (antral) perforation secondary to accidental foreign body ingestion. The complexity of the case raised many problems concerning the imaging diagnosis, especially due to the pseudotumoral aspect of the liver lesion, which extensively involved the retroperitoneal area, the stomach and the pancreas. However, the presence of an image suggesting a foreign body into the gastric wall, in correlation with clinical, biological, morphological and imaging studies solved the case.
authors.affiliation: Department of Ultrasonography, "Prof. Dr. Octavian Fodor" Institute of Gastroenterology and Hepatology, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.
authors.forename: Radu
authors.initials: R
authors.lastname: Badea
authors.forename: Liliana
authors.initials: L
authors.lastname: Chiorean
authors.forename: Daniela
authors.initials: D
authors.lastname: Matei
authors.forename: Andrada
authors.initials: A
authors.lastname: Seicean
authors.forename: Vasile
authors.initials: V
authors.lastname: Andreica
authors.forename: Emil
authors.initials: E
authors.lastname: Botan
mesh_terms: D000196:Actinomycosis / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000382:microbiology; D000818:Animals; D000890:Anti-Infective Agents / Q000627:therapeutic use; D001706:Biopsy; D001842:Bone and Bones; D003287:Contrast Media; D061765:Endoscopic Ultrasound-Guided Fine Needle Aspiration; D005399:Fishes; D005547:Foreign Bodies / Q000150:complications / Q000000981:diagnostic imaging*; D006801:Humans; D008107:Liver Diseases / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000382:microbiology; D008875:Middle Aged; D011237:Predictive Value of Tests; D013270:Stomach / Q000000981:diagnostic imaging* / Q000293:injuries; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging* / Q000209:etiology
chemical_list: D000890:Anti-Infective Agents; D003287:Contrast Media